Active NPI
Hunter Morgan Kershen, DC
- Chiropractor
- Jacksonville, TX
National Provider Identifier
1821551433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14042
- Practice address
- 410 E Commerce St
Jacksonville, TX 75766-4908 - Phone
- (903) 586-3667
- Fax
- (903) 586-6404
- NPI assigned
- Apr 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14042 | TX | Primary |
Addresses
Primary practice location
410 E Commerce St
Jacksonville, TX 75766-4908
Mailing address
12419 FM 346 W
Bullard, TX 75757-9019
Phone (469) 404-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3526 S Broadway Ave
Tyler, TX 75701-8707
Phone (903) 617-6110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14042 | TX | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tyler, TX
- NPI 1851626519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1821551433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12419 FM 346 W",
"city": "BULLARD",
"state": "TX",
"postal_code": "757579019",
"telephone_number": "469-404-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E COMMERCE ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757664908",
"telephone_number": "903-586-3667",
"fax_number": "903-586-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHEN",
"first_name": "HUNTER",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.